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Sex Transm Infect doi:10.1136/sti.2010.042895
  • Behaviour

Circumcision among men who have sex with men in Scotland: limited potential for HIV prevention

Table 1

HIV status, sexual behaviour and willingness to take part in a research study on circumcision and HIV prevention: comparing circumcised and uncircumcised men

Circumcision status
Uncircumcised (N=1172) Circumcised (N=233) Total (N=1405) Adjusted OR (95% CI) among circumcised men*
n % n % n %
HIV and other STI
HIV status (oral fluid specimen)
HIV negative 951 95.4 184 95.8 1135 95.5 1
HIV positive 46 4.6 8 4.2 54 4.5 0.78 (0.35 to 1.73)
Self-reported STI in past 12 months
No 1052 90.8 211 91.7 1263 91.0 1
Yes 106 9.2 19 8.3 125 9.0 0.95 (0.56 to 1.61)
Sexual behaviour
Any UAI partners in past 12 months
No 700 60.8 130 56.3 830 60.1 1
Yes 451 39.2 101 43.7 552 39.9 1.25 (0.93 to 1.69)
UAI with more than one partner in past 12 months
0/1 partner 1006 87.4 202 87.4 1208 87.4 1
2 or more partners 145 12.6 29 12.6 174 12.6 1.07 (0.68 to 1.66)
UAI with partners of unknown or discordant HIV status in past 12 months
No 861 74.8 174 75.3 1035 74.9 1
Yes 290 25.2 57 24.7 347 25.1 1.06 (0.75 to 1.49)
Sexual position during UAI in past 12 months
Always insertive 91 20.5 31 31.0 122 22.4 1.67 (1.01 to 2.76)§
Mostly insertive 38 8.6 11 11.0 49 9.0 1
Equally both 203 45.7 36 36.0 239 43.9
Mostly receptive 73 16.4 19 19.0 92 16.9
Always receptive 39 8.8 3 3.0 42 7.7
Research on circumcision
Willingness to take part in a research study on circumcision and HIV prevention
No 758 68.8 94 50.0 852 66.0 1
Don't know 220 20.0 39 20.7 259 20.1
Yes 124 11.3 55 29.3 179 13.9 3.36 (2.29 to 4.92)
  • * Adjusted for age and nationality.

  • Among men who provided oral fluid specimens (N=1189).

  • Among men reporting any unprotected anal intercourse (UAI) (N=552).

  • § Adjusted OR for men reporting always being the insertive UAI partner in the past 12 months; for men reporting always or mostly being the insertive UAI partner in the past 12 months adjusted OR 1.82, 95% CI 1.14 to 2.92.

  • The willingness question used was ‘We are looking for new ways to prevent HIV. Should the following research studies take place, which would you be willing to take part in?’, with participants asked to select ‘yes’, ‘no’ or ‘don't know’ for circumcision (and also for behaviour change, rectal microbicides and HIV vaccines).

  • STI, sexually transmitted infection.

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